first_imgThe Chhatra JD(U), student wing of Bihar Chief Minister Nitish Kumars party, won the president’s post in the Patna University Students Union (PUSU) elections, the results of which were declared in the early hours of of Thursday. Putting up its best-ever performance, the student body of JD(U) also won the treasurer’s post while the Akhil Bharatiya Vidyarthi Parishad (ABVP), the student wing of RSS bagged the other key offices of vice president, general secretary and joint secretary. This is only the second time in the history of Chhatra JD(U) when its candidates have won key posts in PUSU elections. Previously, the student body had won the joint secretarys post in 2012. The PUSU polls this year witnessed fierce campus rivalry between the Chhatra JD(U) and the ABVP, with allegations of JD(U) national vice-president Prashant Kishor meddling in the elections putting the partys relations with its ally BJP under strain. Incidentally, both Mr. Kumar and his deputy Sushil Modi a senior BJP leader had been PUSU leaders.Hailing the victory of Mohit Prakash and Kumar Satyam for the posts of president and treasurer respectively, JD(U) spokesman Neeraj Kumar tweeted “poll results have placed a mirror before those who have become synonymous with lumpenisation of politics. Patna University students have voted in favour of politics that is free from corruption and imbued with the virtues of character and good conduct.” For the other top posts, the ABVP winners are Anjana Singh (vice president), Manikant Mani (general secretary) and Raja Ravi (joint secretary). Polling had taken place for the PUSU elections on Wednesday and counting of votes continued through the night.last_img read more

first_imgMILO executives during the announcement of the Philippine team for the FC Barcelona training on Wednesday. Photo by Bong LozadaThirteen kids are set to go on a trip of a lifetime as they head to  Spain this October to experience the brand of football of the La Liga giant FC Barcelona.The selected youngsters, who were chosen after two-day camp conducted by MILO and FCB Escola Youth Academy, will be in Barcelona from October 15 to 23 for a series of trainings and other activities including watching a live La Liga match between Barcelona and Malaga at Camp Nou.ADVERTISEMENT Brace for potentially devastating typhoon approaching PH – NDRRMC Read Next Frontrow holds fun run to raise funds for young cancer patients  View comments LOOK: Loisa Andalio, Ronnie Alonte unwind in Amanpulo for 3rd anniversary LATEST STORIES But Willy De Ocampo, the Vice President and Business Unit Manager of MILO Philippines, said they are “committed to bringing everybody to Barcelona.”“Rest assured there won’t be anyone left behind, everyone will fly either on Saturday or Thursday,” said De Ocampo. Kammuri turning to super typhoon less likely but possible — Pagasa BSP sees higher prices in November, but expects stronger peso, low rice costs to put up fightcenter_img Tamaraws come up short against the Green Archers anew From 150 participants, Lien Dale Manuel, Lara Angela Amante, Liam Arc Villaran, Kevin Hadap, Heaven Andrei Teodosio, Lorenzo Miguel Castillo Plaza, Alexis Caitlin Tan, Joseph Kyne Garces, Marcus Lucas Arias, Lorenz Albert Tortona, Enzo Gacutan Courbet, Boris Malcolm Uy, and Ethan Jacob Roxas impressed coaches the most during the camp held last September 2 to 3.“We believe that we have a really good team of kids who exemplify the right mix of values and skills that both MILO and FC Barcelona advocate,” said the brand’s sports executive Robbie De Vera Wednesday during the press conference in Taguig.FEATURED STORIESSPORTSWATCH: Drones light up sky in final leg of SEA Games torch runSPORTSSEA Games: Philippines picks up 1st win in men’s water poloSPORTSMalditas save PH from shutoutFormer Barcelona defender Eric Abidal will also join the young footballers in the training camp where they will also undergo classroom sessions at FCB Escola and technical skills development on the pitch.Unfortunately, there were hiccups when it came to processing of visa with a some of the kids with only a few days left before the trip. Fire hits houses in Mandaluyong City Nonong Araneta re-elected as PFF president Typhoon Kammuri accelerates, gains strength en route to PH MOST READ Protesters burn down Iran consulate in Najaf PLAY LIST 01:37Protesters burn down Iran consulate in Najaf01:47Panelo casts doubts on Robredo’s drug war ‘discoveries’01:29Police teams find crossbows, bows in HK university01:35Panelo suggests discounted SEA Games tickets for students02:49Robredo: True leaders perform well despite having ‘uninspiring’ boss02:42PH underwater hockey team aims to make waves in SEA Games Don’t miss out on the latest news and information. last_img read more

first_imgTrump strips away truth with hunky topless photo tweet Ethel Booba on hotel’s clarification that ‘kikiam’ is ‘chicken sausage’: ‘Kung di pa pansinin, baka isipin nila ok lang’ Robredo should’ve resigned as drug czar after lack of trust issue – Panelo Photo by Tristan Tamayo/ INQUIRER.netBatangas continued to stockpile in preparation for the 2017 PBA D-League Foundation Cup playoffs, this time, fortifying their frontline on Tuesday.Coach Eric Gonzales secured the release of Leo Avenido from Gamboa Coffee Mix, while picking up Joseph Gabayni and Jebb Bulawan from the free agent pool.ADVERTISEMENT UFC: Ex-champ Daniel Cormier congratulates Jon Jones for winning title Robredo: True leaders perform well despite having ‘uninspiring’ boss PLAY LIST 02:49Robredo: True leaders perform well despite having ‘uninspiring’ boss02:42PH underwater hockey team aims to make waves in SEA Games01:44Philippines marks anniversary of massacre with calls for justice01:19Fire erupts in Barangay Tatalon in Quezon City01:07Trump talks impeachment while meeting NCAA athletes02:49World-class track facilities installed at NCC for SEA Games Church, environmentalists ask DENR to revoke ECC of Quezon province coal plant The three will join Robby Celiz as the new recruits for the Batangueños as they will play later against Flying V.The 38-year-old Avenido averaged 17.9 points, 4.1 rebounds, and 2.0 assists this conference for the Coffee Lovers, where he also filled the role of the head coach.FEATURED STORIESSPORTSSEA Games: Biñan football stadium stands out in preparedness, completionSPORTSPrivate companies step in to help SEA Games hostingSPORTSWin or don’t eat: the Philippines’ poverty-driven, world-beating pool starsGabayni last saw action in the PBA D-League with Racal last conference, while Bulawan suited up for JRU.Meanwhile, Flying V has also made minimal moves to its camp as it activated Ryusei Koga in lieu of Mike Gamboa. Don’t miss out on the latest news and information. DILG, PNP back suspension of classes during SEA Games MOST READ The Fil-Japanese guard last played for Victoria Sports-MLQU, and his entry will give the Thunder another playmaker as they gun to complete a sweep of the eliminations.Sports Related Videospowered by AdSparcRead Next FEU Auditorium’s 70th year celebrated with FEU Theater Guild’s ‘The Dreamweavers’ Lacson: SEA Games fund put in foundation like ‘Napoles case’ National Coffee Research Development and Extension Center brews the 2nd National Coffee Education Congress LATEST STORIES View commentslast_img read more

first_img“I am looking forward to playing. About the (Bengaluru “I am looking forward to playing. About the (Bengaluru FC) players, like the coach said, we have to wait. Two of them are injured. We hope they can come to us as soon as possible. We need everyone (available) for every game,” said Forlan. The marquee player said that the brevity of the ISL, that commences on October 1 and ends on December 18, is whats attractive to active stars like him. “At the moment the way they are doing the League is nice. For footballers its a nice league as it is not long, but short, and thats why its attractive to many players.”I would try to play my best score goals, try to assist players. I dont know about other players. I am here trying to do my best. I want October to come as quickly as it can. I want to play.” Coach Borges insisted that many a time its seen in football that the playing eleven which starts a tournament does not remain the same till the end.”Its impossible that we can play with the same eleven in every game. It does not matter whether the tournament is short or long as most of the time the first eleven in the first game is not the picture (you see) in the final. What I have now are the right guys for the first game.”We will take it game by game, will see how to give minutes to each player. We now have 20 players on the pitch which is a good amount of players to start the league.advertisement”About the injured guys from (Bengaluru FC), the information we have is that we have to wait for one month for them to be fit. We have to talk with the doctor this evening and see what information they have.” PTI SSR NRB AH AH RYSlast_img read more

first_imgTagsAustralia/Asia NewsAbout the authorIan FerrisShare the loveHave your say ABC deal for A-League and W-League club competitionsby Ian Ferris21 days agoSend to a friendShare the loveAustralian public-service broadcaster ABC has struck a two-year deal with Football Federation Australia (FFA) to provide free-to-air coverage of the A-League and W-League club competitions, as well as matches involving the men’s and women’s national teams, reports SportBusiness.It will mark the first time that ABC has broadcast the A-League, the top tier of the men’s club game in Australia. The deal also marks a return of ABC’s W-League coverage, with the broadcaster having served as the inaugural partner of the women’s competition from 2008 to 2017.Under the agreement announced by FFA and its pay-television rights holder Fox Sports, ABC will broadcast 29 live regular-season matches at 5pm on Saturdays during the 2019-20 campaign, with coverage to be shown on television and via the iview on-demand service.For the A-League 2020 Finals Series, ABC will provide delayed broadcasts of one elimination final, one semi-final and the grand final. It will also show 14 rounds of the 2019-20 W-League season and the entire W-League Finals Series live.Additionally, ABC will broadcast every men’s national team match which Fox Sports has rights to. The broadcaster will also show the women’s national team’s upcoming matches against Chile on November 9 and November 12, as well as next year’s Asian qualifiers for the women’s Olympic tournament.Fox Sports will continue to provide live coverage of all A-League, W-League and national team matches via Foxtel and Kayo Sports. last_img read more

first_imgAbout the authorCarlos VolcanoShare the loveHave your say Real Madrid coach Zidane: Strong Courtois aware of the situationby Carlos Volcano20 days agoSend to a friendShare the loveReal Madrid coach Zinedine Zidane has defended Thibaut Courtois.Courtois was withdrawn at half-time with Real trailing 2-0 against Club Bruges in midweek, and the club later said the Belgian had been suffering from gastroenteritis – rather than an anxiety attack as claimed in the Spanish media.Courtois was jeered by members of the home support during the 2-2 Champions League draw.On Courtois, Zidane said: “Regardless of whether it’s fair or not, it is what it is. He’s strong and is aware of the situation. The first-half performance the other day was down to everyone.”The important thing is how he’s feeling. He’s not the only one who was responsible for that first half against Bruges. At Real Madrid you’re not allowed to make any mistakes, we can never concede and always have to score. Whenever that doesn’t happen, bad things are always going to be said about Real Madrid. We always have to give our all.”Nobody is a guaranteed starter, not Courtois or anybody else. I never said that. I’m going to use all of them.” last_img read more

first_img The Petroleum Corporation of Jamaica (PCJ) is reminding Jamaicans that energy conservation should still be the first priority, even as Jamaica launches into the oil and gas exploration industry.Speaking at a recent JIS ‘Think Tank’, Manager, Corporate Affairs and Communication at the PCJ, Camille Taylor, said the agency is encouraging persons to practise energy conservation and efficiency, which is now being called the ‘first fuel’.She explained that the company’s mandate in managing energy security for Jamaica is two tiered – looking at supply, which is the oil and gas exploration and development of renewables; and managing demand, which is the energy efficiency projects done in the public sector.For his part, Group General Manager at the PCJ, Winston Watson, pointed out that the agency is driving the energy management of the country from different areas.“Finding oil and gas is one solution, but the best solution we have is conservation, so we must still practise energy conservation…use it wisely,” he urged.Mr. Watson explained that in addition to oil and gas exploration, the PCJ does a number of energy conservation, energy efficiency and renewable energy projects.He noted that Wigton Wind Farm in Manchester is one such project, and is the largest of its kind in the Caribbean.In the meantime, the Group General Manager said that the PCJ is also working on implementing a programme with the Inter-American Development Bank (IDB), Japan International Cooperation Agency (JICA) and the European Union (EU) to put energy solutions in hospitals, schools and Government agencies.Oil and gas exploration activities are being undertaken by the PCJ and Tullow Oil, and will move into a higher gear with the initiation of the first ever 3-D seismic survey in the waters off Jamaica’s south coast between the Pedro Bank and Portland Cottage this month.-30- The Petroleum Corporation of Jamaica (PCJ) is reminding Jamaicans that energy conservation should still be the first priority, even as Jamaica launches into the oil and gas exploration industry.  “Finding oil and gas is one solution, but the best solution we have is conservation, so we must still practise energy conservation…use it wisely,” he urged. Story Highlights She explained that the company’s mandate in managing energy security for Jamaica is two tiered – looking at supply, which is the oil and gas exploration and development of renewables; and managing demand, which is the energy efficiency projects done in the public sector.last_img read more

first_imgSouth African pay TV operator MultiChoice has introduced a new DStv Family pack, to launch on April 9, priced at ZAR175 (€14.50) a month.The pack will include over 45 channels, 17 of which have not been on lower-tier bouquest previously. These include Sony Entertainment, Discovery TLC, Nat Geo Wild, KykNET Musiek and Cartoon Network.Two new channels – Fox and KykNET & Kie – will also be added to the DStv bouquest on April 9, available via the Compact and Premium bouquets as well as the new Family pack.Fox will feature shows including Falling Skies and The Walking Dead, while kids channel KykNET & Kie will give customers on DStv Compact and DStv Family access to some kykNET shows such as Villa Rosa, Binneland, Toks en Tjops, Enuus and Dagbreek. KykNET & Kie will absorb existing kids service KooWee, airing shows including Tjiff and Tjaff, Lappies, Pikin and Zimzim.last_img read more

first_imgReviewed by James Ives, M.Psych. (Editor)Feb 13 2019In the largest study to date on phthalates and postmenopausal breast cancer, a University of Massachusetts Amherst cancer epidemiology researcher found no association between breast cancer risk and exposure to the plasticizing and solvent chemicals used in such common products as shampoo, makeup, vinyl flooring, toys, medical devices and car interiors.Published in the Journal of the National Cancer Institute, the research “rules out any extreme increase in risk,” but still leaves open the question of whether some relationship exists between phthalate exposure and breast cancer, says Katherine Reeves, associate professor in the School of Public Health and Health Sciences.”Our research has raised almost as many questions as it’s answered,” says Reeves, whose study was funded with a three-year, $1.5 million grant from the National Institute of Environmental Health Sciences. “I think this is an important contribution to the literature, but there’s still a lot more work to be done, including looking at younger women.”Virtually everyone in the United States is exposed to phthalates in varying degrees, primarily by eating and drinking food and liquid that has come in contact with products containing the chemicals, according to a Centers for Disease Control and Prevention fact sheet. After ingestion, the body breaks down phthalates into metabolites that are quickly excreted in urine and can be analyzed. “If you’re excreting more, likely you are exposed to more,” Reeves says.For their prospective study, the first to measure phthalate exposure before a cancer diagnosis, Reeves and UMass Amherst colleagues turned to the Women Health Initiative (WHI), a long-term national health study involving more than 160,000 postmenopausal women. Prospective cohort studies allow researchers to calculate disease incidence in proper time sequence, establishing exposure level before outcome is known, which provides stronger evidence than other study types.UMass Amherst researchers examined levels of 11 phthalate metabolites in urine samples from 419 women who were diagnosed with invasive breast cancer after Year 3 of the WHI. They also studied samples from 838 healthy women who didn’t develop breast cancer.Two or three urine samples from each participant – from baseline, Year 1 and Year 3 – were measured, addressing two of the challenges of studying phthalate exposure, Reeves says. Previous studies examined urine samples after a breast cancer diagnosis, when exposure could have come from medical equipment or medication. In Reeves’ study, “the samples were collected when everyone was healthy, so that gave us samples that were free of concern that differences in exposure could be related to the diagnosis and treatment.”Related StoriesUsing machine learning algorithm to accurately diagnose breast cancerCancer killing capability of lesser-known immune cells identifiedSugary drinks linked to cancer finds studyIn addition, analyzing several urine samples was expected to increase the chances of having a more accurate picture of exposure. Half of phthalate metabolites are excreted in urine within 12 to 24 hours of exposure, Reeves says. “If you’re relying on a single measurement, you may be misclassifying people and either getting no association or the wrong association.”Even though researchers analyzed several urine samples from each person taken a few years apart, Reeves says the study had limitations. “People’s phthalate exposure changes quite a bit over time, and this makes it challenging to characterize the people who are the most exposed and who are the least, which is what we need to be able to do in order to evaluate whether higher phthalate exposure is related to breast cancer risk,” Reeves says. “Using two to three samples per person helped, but it wasn’t fully able to overcome that challenge.”Reeves says future research would benefit from studying younger women. “The most critical time for breast cancer development is in previous years. Looking at women in their 50s and 60s may not be the most important exposure period,” she says.Additional urine samples – perhaps 10 to 20 – would allow researchers to more accurately characterize exposure as low, medium or high. The study also recommends future research should take a closer look at postmenopausal women not on hormone replacement therapy because “some potentially positive, yet not statistically significant” associations were noted between the level of phthalate metabolites and breast cancer risk in this subgroup.”We need to know the answer about whether or not these chemicals are causing breast cancer or other health outcomes,” Reeves says. “It’s a pressing issue and we’re trying to think of creative approaches to get not just an answer, but the right answer.”Source: read more

first_imgOur bodies like a wide variety of foods. I like to think about having a healthy relationship with food, as opposed to trying to eat only ‘healthy’ foods.”Judith Matz As defined in a study Long-term Habituation to Food in Obese and Nonobese Women, habituation is a “form of learning in which repeated exposure to a stimulus leads to a decrease in responding.”Allowing oneself to eat what the body is craving can have positive effects on psychological health. Binge eating food after a period of deprivation can lead to an unhealthy cycle of feeling guilty, restricting the diet, then bingeing again.However, the habituation study does recognize that the learning technique may not affect all types of food, stating “It is also possible […] there are foods that seem resistant to habituation, that people would eat as often as possible without getting tired of that food. Many chocolate lovers would surely agree.”Authors admit that the research into habituation and eating is in its “infancy” but it may “help to understand some aspects of eating, and may be able to provide insight into factors responsible for obesity and eating disorders.”Regarding eating disorders, intuitive eating requires a person to be accurate in their conclusions about their hunger or satiation levels.Those with eating disorders may have more trouble recognizing their body’s signals, as suggested by a study into interoception, the ability to feel a sense of the state of the body’s internal systems and eating disorders.It concluded that out of its 41 samples, “large interoceptive deficits occur in a variety of eating disorders and crucially, in those who have recovered”. It is important to note, however, that the sample size of this study is small.The positive effects on mental health gained from intuitive eating are more apparent than the positive effects on weight loss.Research suggests that intuitive eating is associated with better positive body image, body satisfaction, positive emotional functioning, and higher levels of self-esteem.Other studies have found that intuitive eating has also led to lower eating disorder symptoms when compared with symptoms experienced from restrictive diets.Additional to cravings, both environmental and lifestyle factors may also affect when and what a person is able to eat, for instance having to adhere to specific mealtimes due to work or family commitments that may force a person to eat when they are not hungry.There are also a wide range of hormones that regulate hunger, appetite, and rates of satisfaction after eating. There is evidence suggesting that gender, food intake, and an individual’s body fat percentage can influence the signals these hormones generate, and how intense they are.Ghrelin, a hormone produced and released in the gut, but also found in small amounts in the small intestine, pancreas, and brain, is known as the ‘hunger hormone’ as it stimulates the appetite and promotes fat storage.Research carried out by the University of Birmingham has suggested that ghrelin levels may alter when an individual begins a fasting diet.Conversely, leptin, a hormone secreted from fat cells in adipose tissue and signals to the area of the brain called the hypothalamus, regulates food intake by inhibiting appetite instead of stimulating it, and controls energy expenditure throughout the day.When an individual is fasting, levels of leptin decrease along with the inevitable decrease in the body’s fat content, meaning there is less leptin to signal to the brain that the body is satisfied, potentially leaving hunger levels high. This puts a person at increased risk of overeating.Of course, it is advised that intuitive eating isn’t used as a way to indulge in unhealthy diets. Instead, it is suggested that intuitive eating is used as a tool to encourage healthy eating habits both nutritionally, as it promotes a balanced diet, and mentally, by promoting stronger connections with the body’s signals and reducing the negative cycles associated with restrictive diets. When you eat what you want to, and the sense of restriction or scarcity has gone away, you’re able to tune into your body and listen and actually decide if you want a certain food or not. And eventually, everyone gets to the point where they don’t have intense cravings. This is explained in research by the science of habituation: the more you are exposed to a food, the less interested you become in it.” By Lois Zoppi, BAApr 5 2019Reviewed by Kate Anderton, B.Sc. (Editor)Restrictive diets such as intermittent fasting, calorie-restrictive diets, or the ketogenic diet can produce very varying rates of success.Studies are now suggesting that listening to the body’s cues and acknowledging and acting on cravings instead of ignoring them, may well lead to better results from diets overall, especially in terms of psychological health.Studio Lucky | ShutterstockAs well as the physical effects of fasting, a range of psychological symptoms can arise from restrictive diets. For instance, those following restrictive diets may become preoccupied with feelings of guilt about eating, and are more at risk of developing depression, anxiety, and stress.The concept of intuitive eating has been gaining traction after dieticians Evelyn Tribole and Elyse Resch published a book on the subject.Intuitive eating encourages people to listen to the body and follow its cues about when and how much to eat, instead of controlling the diet through emotions, diet plans, or the environment in which they live.It is in contrast to many alternative diets, as it does not call for people to cut food out of their diet; instead, it actively encourages them to eat what they want.Regarding concerns about those following an intuitive eating guide will consume more food high in fats and sugars, research into intuitive eating has found that the opposite it true.Judith Matz, LCSW, co-author of The Diet Survivor’s Handbook: 60 Lessons in Eating, Acceptance, and Self-Care, explains,When you tell yourself something is off limits, you’re likely to think about it more often. […] When you do eventually eat it, there’s a good chance you’ll overeat or binge on that food, which is a natural reaction to deprivation.”Alissa Rumsey MS, RD, a nutrition therapist and founder of Alissa Rumsey Nutrition and Wellness, also shed light on the effects of indulging cravings. In conclusion, the effects of intuitive eating on weight loss still requires further research, but current literature suggests that the effects of intuitive eating on psychological health are positive, with levels of higher self-esteem and better body satisfaction being reported, along with a reduced feeling of guilt.last_img read more

first_imgRelated StoriesNew therapeutic food boosts key growth-promoting gut microbes in malnourished childrenRepurposing a heart drug could increase survival rate of children with ependymomaGene modulation goes wireless hacking the “boss gene”The breakthrough one-time treatment replaces a defective gene called RPE65 located in the retina, the membrane at the back of the eye that detects light and color, with a healthy copy made from artificial DNA, the equivalent of human DNA. RPE65 is responsible for producing a protein that makes light receptors work in the eye.Of the seven hospitals nationwide originally approved to deliver this therapy to patients, CHLA was the only program with two full-time, dedicated pediatric retinal surgeons on site -; Nagiel, and Thomas C. Lee, MD, director of The Vision Center at CHLA and associate professor of ophthalmology at the USC Roski Eye Institute. CHLA also is home to the Center for Personalized Medicine, where a laboratory certified by the Clinical Laboratory Improvement Amendments (CLIA) can do the necessary genetic testing for potential patients to determine if they have the defective RPE65 gene.”We are pleased to be able to offer this therapy that can truly impact a patient’s quality of life and, potentially, help them see their future through ‘new eyes’,” said Lee.CHLA has performed the procedure on nine children, as young as age three, and a handful of adults. While results have been less dramatic with adult patients – the inherited disease manifests itself early in childhood and gets worse over time, leading to total blindness – eyesight improvement is largely contingent on how far the condition has advanced. “For adults the clock has been ticking and cells have been dying over time,” explains Nagiel, an assistant professor of Ophthalmology at Keck School of Medicine of USC. “We want to save what they have but the treatment is allowing them to see and experience things they haven’t done before.” Source:Children’s Hospital Los Angeles Reviewed by Alina Shrourou, B.Sc. (Editor)Jul 14 2019More than a year after becoming one of the first medical institutions nationally to complete a revolutionary gene replacement surgery to restore vision in patients with retinal degeneration, surgeons at the of The Vision Center at Children’s Hospital Los Angeles (CHLA) have successfully completed the procedure on an additional 13 patients.The outcomes of two of those patients, San Diego residents Monroe Le, 6, and Heather Hodlin, 25, were chronicled on the recent ABC News Nightline episode, “Miracle of Sight.”Photos of Monroe and Heather are available upon request at We have found that using gene therapy to treat this condition can be life-changing for children under the age of 10. While they are not going to have normal vision, we can improve it to a degree that they can do activities they couldn’t do before, like playing outside at night. They gain greater visual clarity of edges on objects, so they can draw and enjoy picture books, and play with toys like puzzles and Legos.”CHLA surgeon Aaron Nagiel, MD, PhDlast_img read more

first_imgReviewed by James Ives, M.Psych. (Editor)Jun 21 2019In 2017, the majority (58%) of the almost 27 000 newly reported hepatitis B cases in the European Union and European Economic Area were classified as chronic infections. This follows a consistent upward trend in reported chronic hepatitis B cases since 2008.There is evidence of on-going transmission of hepatitis B and continued importation of cases to many European countries according to the available surveillance data for countries of the European Union and the European Economic Area (EU/EEA) for 2017. Incomplete data as well as varying national surveillance systems and practices however impair more detailed epidemiological analysis of reported data.The majority of EU/EEA countries consistently reporting experienced a steady decline in newly reported acute hepatitis B infections from 1.1 per 100 000 population in 2008 to 0.6 in 2017. This reflects overall global trends and is most likely a result of successful national vaccination programmes: in these countries, the proportion of acute hepatitis B infections among people below 25 years of age declined from 20% in 2008 to 12% in 2017. The proportion of chronic cases under 25 declined from 21% in 2008 to 10% in 2017.However, during the same time period notifications of chronic hepatitis B overall increased from 6.7 per 100 000 population to 10.2 in 2017 with the highest rates reported among the 25-34-year-olds. Overall, the reported data on chronic hepatitis B seems to mirror the intensity of local testing and screening policies – thus countries with comprehensive testing programs in place appear to have the highest notification rates. The high number of chronic infections from northern Europe has a strong influence on trends with e.g. 62% of chronic hepatitis B cases in 2017 notified by the United Kingdom.Incomplete data affects interpretationTransmission data are key to understanding the epidemiology of hepatitis B. However, information on the transmission mode was only complete for roughly a third (29%) of the reported acute cases in 2017 and only 13% of the notified chronic cases. Hence, data are unlikely to be fully representative, and observed trends and differences between countries are hard to interpret.Related StoriesAustralia leads the world in childhood immunization coverageFSMB releases new report surveying digital credentials in healthcareCould formal health technology assessment be a solution to high healthcare costs in the US?For the 718 acute cases with complete information, heterosexual transmission was most commonly reported (27%), followed by nosocomial transmission (16%), sex between men (13%), non-occupational injuries (10%) and injecting drug use (10%). Italy, Poland and Romania accounted for 74% of the acute cases attributed to healthcare-associated hepatitis B infections in 2017.Where this information was available, transmission from mother to child and in healthcare settings were the most commonly reported routes for chronic hepatitis B infection (41% and 28% respectively). Poland reported 90% of chronic cases related to nosocomial transmission.Of the 12 018 cases (45%) with information on importation status, 3 778 (31%) were reported as imported. The influence of migration on hepatitis B epidemiology highlights the need for countries to develop evidence-based screening interventions that target the most affected migrant communities. It also highlights the importance of monitoring routine surveillance indicators of migration, such as importation status.The relatively high number of 26 907 reported hepatitis B infections in 2017and especially chronic cases, in combination with the diversity in reported transmission routes across Europe suggest that countries need to maintain and strengthen local hepatitis prevention and control programs.The World Health Organization’s European Action plan for the health sector response to viral hepatitis outlines ways to do this. Based on the information from the ECDC prevalence database, authorities can identify the key population groups and areas of high hepatitis prevalence for targeted efforts. Source:European Centre for Disease Prevention and Control (ECDC)last_img read more